Contrast-Induced Nephropathy Post Percutaneous Interventional Procedures
CIN is associated with increased morbidity and mortality, prolonged hospitalization, and increased healthcare costs. It is the third leading cause of hospital-acquired renal failure. The incidence of contrast-induced nephropathy (CIN) after cardiac catheterization reported in literature is 3–22 % [1–3]. CIN has been shown to be associated with additional morbidity, mortality, and increased healthcare costs [1, 2]. Although the mechanism for CIN is not understood, several mechanisms have been implicated in the pathogenesis of this complex phenomenon including direct cytotoxic effects of the contrast agents, ischemic injury due to renal vasoconstriction, decreases in renal medullary blood flow, auto- and paracrine effects (including adenosine, endothelin, and reactive oxygen species activity), oxidative stress, and cellular apoptosis . Risk stratification prior to catheterization perhaps can help identify patients at high risk for CIN.
KeywordsCatheter Hydration Dopamine Creatinine Adenosine
- 3.Deek H, Newton P, Sheerin N, Noureddine S, Davidson PM. Contrast media induced nephropathy: a literature review of the available evidence and recommendations for practice. Aust Crit Care. 2014;pii:S1036-7314(13)00266-X. doi: 10.1016/j.aucc.2013.12.002. [Epub ahead of print] PubMed PMID: 24461960.
- 4.Kidney Disease: Improving Global Outcomes (KDIGO) Acute Kidney Injury Work Group. KDIGO clinical practice guideline for acute kidney injury. Kidney Int Suppl. 2012;2:1–138.Google Scholar
- 7.Marenzi G, Lauri G, Campodonico J, Marana I, Assanelli E, De Metrio M, Grazi M, Veglia F, Fabbiocchi F, Montorsi P, Bartorelli AL. Comparison of two hemofiltration protocols for prevention of contrast-induced nephropathy in high-risk patients. Am J Med. 2006;119(2):155–62. PubMed PMID: 16443418.PubMedCrossRefGoogle Scholar